Blue Dolfins Summer Swim League-2024
April 30 to July 20
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Email *
Parent Name *
Street Address *
City, State, Zip Code *
Parent #1 Phone Number *
Parent 2 Phone Number
Emergency Contact Phone Number *
Email Address *
Alternate Email Address
Swimmer #1 Information - NAME *
Swimmer #1 Information - DATE OF BIRTH
*
MM
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DD
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YYYY
Swimmer #1 Information - GENDER
*
Swimmer #1 Information - SCHOOL
*
Swimmer #1 Information - SHIRT SIZE (please specify Youth or Adult)
*
Swimmer #1 Practice Group (Pick preferred time & date) *
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Swimmer #2 Information - NAME
Swimmer #2 Information -DATE OF BIRTH
MM
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DD
/
YYYY
Swimmer #2 Information - GENDER
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Swimmer #2 Information - SCHOOL
Swimmer #2 Information - SHIRT SIZE (please specify Youth or Adult)
Swimmer #2 Practice Group (Pick preferred time & date)
Swimmer #3 Information - NAME
Swimmer #3 Information - DATE OF BIRTH
MM
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DD
/
YYYY
Swimmer #3 Information - GENDER
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Swimmer #3 Information - SCHOOL
Swimmer #3 Information - SHIRT SIZE (please specify Youth or Adult)
Swimmer #3 Practice Group (Pick preferred time & date)
Registration *
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